E&H Business Services - Computer-Based Patient Records




			Computer-Based Patient Records Your Future is Here Computer-Based Patient Record is the next major step in the application of computer technology to the practice of medicine. Finally, you can use a computer for more than accounting and word processing. What can Computer-Based Patient Records do? It can make it easy to keep computer-based records for each patient you see. Quickly and easily enter progress notes and histories Instantly review patient problems, medications, allergies, and lab results Send charges automatically to your Practice Management System How does it Work? It maintains a database of information for each patient. Besides demographics, it keeps information relating to each patient encounter. The database includes information on the patient’s Problems Medications and, of course, your notes relating to that encounter When you call up a patient’s record, it’s all available instantly. The data is well organized so it’s easy to see the patient’s history and situation. And then you can quickly add new data Progress Notes Because time is so precious, special attention is paid to the entry of notes—SOAP notes, histories, plans, evaluations, anything else you may write. Of course you can enter notes by typing. But that is repetitive, and slow. So its been engineered with a special program that lets you capture any note, or part of a note, and keep it as a template for reuse. Templates use variables to allow for information that changes—allowing an unusual degree of flexibility. You can create templates for: Checklists Forms with blanks to fill in Outlines of exams SOAP notes Problem-oriented notes – for instance, otitis media Complaint-oriented notes – for instance, chest pain Pregnancy work-ups Referrals Answers to requests for information Once you’ve created a template, it takes only a click to include it in your notes for a patient. Please contact us for further information.